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Its also available as an arginine supplement, often made synthetically in lab-based setups

D-carnitine competitively inhibits carnitine acetyltransferase and carnitine palmitoyltransferase, inactivating carnitine acetyltransferase, leading to symptoms of fatigue, and in severe cases, may cause muscle atrophy

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Group 1 (Control): Received standard diet and saline solution

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